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--- en:hahnadv:kent-jt-value-of-symptoms [2013/11/05 10:33]
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 Again, we see that there are certain symptoms in the remedies that are general, and on the other hand the symptoms that are general must also be taken in account in order to examine any record. //All the things that are predicated of the patient himself are things that are general; all the things that are predicated of any given organ are things in particular//. So we see how there are things in general, and things common, and things particular; sometimes it may be a condition or state, sometimes it may be a symptom. We have said that what the patient predicates of himself will generally appear to you to be at once something in general. When the patient says, "I am thirsty," as a matter of fact, although he feels that thirst in the mouth, yet it is his whole economy that craves that water. The things of which he says, //"I feel"// are to a great extent //generals//. The patient says, //"I// have so much burning," and if you examine him, you find that his head burns, that the skin burns, that there is burning in the anus, burning in the urine, and whatever region is effected bums. You find the word //burning// is a //general// feature that modifies all his sickness. If it were only in one //organ,// it would be a //particular// , but those things that relate to the whole of the man are things in general. Again, when the patient tells things of his affections, he gives us things that are most general. When he speaks of his //desires// and //aversions//, we have those.things that relate so closely to the man himself that the changes in these things will be marked by changes in his very ultimates. When the man arrives at that state that he has an aversion to life, we see that that is a general symptom and that it permeates his economy; that symptom surrounds all the symptoms and is the very center of all his states and conditions. When he has a desire to commit suicide, which is the loss of the love of his life, we see that that is in his very innermost, Medicines affect man primarily by disturbing his affections, by disturbing his aversions and desires. The things that he loved to do are changed, and now he craves strange things. Or the remedy changes his ability to comprehend, and turns his life into a state of contention and disturbance; it disturbs his will and may bring upon him troublesome dreams which are really mental states. Dreams are so closely atlied to the mental state that he may well say, "I dreamed last night;" that is a general state. //The things that lie closest to man and his life, and his vital force are the things that are strictly general// , and as they become less intimately related to man they become less and less general, until they become particular. The menstrual period gives us a general state. The woman says, "I menstruate," so and so; she does not attribute it to her ovaries or to her uterus; her state is, as a rule, different when she is menstruating. So the things that are predicated of self, of the ego, the things described as "I do so and so," "Dr., I feel so and so," "I have so much thirst," "I am so chilly in every change of the weather," "I suffocate in a warm room" etc., these are all generals. //The things that are general are the first in importance//. After these have been gathered, you may go on taking up each organ, and ascertaining what is true of each organ. Many times you will find that the modalities of each organ conform to the generals. Sometimes, however, there may be modalities of the organ, which are particular, that are opposed to the generals. Hence we find in remedies they appear to have in one subject one thing, and in another subject the very opposite of that thing. In one it will be a general, and in another it will be a particular.
-Now, as it is very important for you to understand what is meant by general, common and particular symptoms, I will repeat somewhat. //The generals are sometimes made up of particulars.// If you examine any part, you are only examining the particulars. If you examine the liver symptoms alone you are examining particulars. If you are examining the eye symptoms, or the symptoms of any other region considered apart from the whole man, you are still examining particular symptoms. But after you have gathered the particulars of every region of the body, and you see there are certain symptoms running through the particulars, those symptoms that run through the particulars have become geaerals as well as particulars. //Things that apply to all the organs may be predicated of the person himself.// Things that modify all the parts of the organism are those that relate to the general state. Anything that the individual predicates of himself is also a general. There are things that an individual might say of himself that might relate to only onef organ, but of course that is only a particular. Most of the things that the man predicates of himself are general. Suppose you take the symptoms of sleep. You might at first think that they relate to the brain, but the brain does not sleep any more than the whole man. "I was wakeful last night;" he is predicating something of himself and hence it is a general. Or he says, "I dreamed;" well, it is true that the whole man really dreamed. You might say that the mind merely dreamed, but the mind is the man, and therefore we see how important sleep and dreams become in the anamnesis of a case. Scarcely more important is what the woman says of her menstruation, for menstruation so closely relates to the whole woman that it becomes most important. The special senses also are so closely related to the whole man that the smells that are grateful and the smells that are disagreeable become general. There are certain smells that relate more particularly to the nose itself, because the smell is in the nose and is due to some pathological condition of that organ, and thus these smells become mere particulars. The smell of food is agreeable when the man is hungry, and that will relate to the whole man, but one who has a vicious catarrh of the nose, with much local disturbance has many perversions of smell which are particulars because they relate to the nose. Another patient says, "I see" so and so, without seeing; that relates to the generals. It is to a great extent a seeing with the understanding. When the eye itself becomes affected, the symptoms gathered are particular because they relate to the anatomy of the eye. //The more the symptoms relate to the anatomy of a part, the more external they are; the more they relate to the tis sues, the more likely they are to be particular//. But the more they relate to internals that involve the whole man, the more they become general.
+Now, as it is very important for you to understand what is meant by general, common and particular symptoms, I will repeat somewhat. //The generals are sometimes made up of particulars.// If you examine any part, you are only examining the particulars. If you examine the liver symptoms alone you are examining particulars. If you are examining the eye symptoms, or the symptoms of any other region considered apart from the whole man, you are still examining particular symptoms. But after you have gathered the particulars of every region of the body, and you see there are certain symptoms running through the particulars, those symptoms that run through the particulars have become geaerals as well as particulars. //Things that apply to all the organs may be predicated of the person himself.// Things that modify all the parts of the organism are those that relate to the general state. Anything that the individual predicates of himself is also a general. There are things that an individual might say of himself that might relate to only onef organ, but of course that is only a particular. Most of the things that the man predicates of himself are general. Suppose you take the symptoms of sleep. You might at first think that they relate to the brain, but the brain does not sleep any more than the whole man. "I was wakeful last night;" he is predicating something of himself and hence it is a general. Or he says, "I dreamed;" well, it is true that the whole man really dreamed. You might say that the mind merely dreamed, but the mind is the man, and therefore we see how important sleep and dreams become in the anamnesis of a case. Scarcely more important is what the woman says of her menstruation, for menstruation so closely relates to the whole woman that it becomes most important. The special senses also are so closely related to the whole man that the smells that are grateful and the smells that are disagreeable become general. There are certain smells that relate more particularly to the nose itself, because the smell is in the nose and is due to some pathological condition of that organ, and thus these smells become mere particulars. The smell of food is agreeable when the man is hungry, and that will relate to the whole man, but one who has a vicious catarrh of the nose, with much local disturbance has many perversions of smell which are particulars because they relate to the nose. Another patient says, "I see" so and so, without seeing; that relates to the generals. It is to a great extent a seeing with the understanding. When the eye itself becomes affected, the symptoms gathered are particular because they relate to the anatomy of the eye. //The more the symptoms relate to the anatomy of a part, the more external they are; the more they relate to the tissues, the more likely they are to be particular//. But the more they relate to internals that involve the whole man, the more they become general.
 You will see, therefore, that the things //that relate to the man// //are// //to be singled out in the anamnesis and marked first.// Sometimes when you have figured the anamnesis of the generals, you have set tied by your anamnesis upon three remedies. If there be but one remedy that has the numerous generals, and covers those generals absolutely, clearly and strongly, that will be the remedv that will cure the case. There may be a lot of particulars that may appear to contraindicate, but they cannot do so, for' //nothing in particular can contraindicate generals.// One strong geneial overrules all the particulars you can gaiher up. Aggravation from heat will throw out //Arsenicum// from consideration in any case.

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